Organization Active NPI

Diabetes & Endocrine Treatment Center

  • Medical Specialty Clinic/Center
  • Waycross, GA
National Provider Identifier
1528396702
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
035482 Issued in GA
Legal business name
DIABETES & ENDOCRINE TREATMENT CENTER
Practice address
2005 Pioneer St
Suite C
Waycross, GA 31501-6206
Phone
(912) 284-9888
Fax
(912) 285-8533
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Denise Ann Morris, MDNPI 1104999226
Title
Owner/Ceo
Phone
(912) 284-9888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 035482 GA Primary

Addresses

Primary practice location

2005 Pioneer St
Suite C
Waycross, GA 31501-6206

Mailing address

2005 Pioneer St
Suite C
Waycross, GA 31501-6206
Phone (912) 284-9888

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7255/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1528396702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PIONEER ST",
            "address_2": "SUITE C",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016206",
            "telephone_number": "912-284-9888",
            "fax_number": "912-285-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PIONEER ST",
            "address_2": "SUITE C",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016206",
            "telephone_number": "912-284-9888",
            "fax_number": "912-285-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES & ENDOCRINE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "912-284-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "035482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.